Colorectal & Breast and Cervical Screening Programs Enrollment Form

The Wyoming Department of Health Integrated Cancer Services Program offers free colorectal, breast, and cervical cancer screening to qualifying individuals who live in Wyoming.

This program provides access to clinical breast exams, mammograms, pap tests, colonoscopies, and fecal immunochemical test (stool tests), as well as follow-up and referrals to clients needing additional services.

To be considered or to determine your eligibility for screening through the program, please click on the link below to fill out an electronic application.


In order to ensure that your information is confidential and securely submitted you will be required to sign into your google (gmail) account. If you do not have an account, you will be given the opportunity to create one before you begin filling out your application.